CDC-like kinase 4 deficiency contributes to pathological cardiac hypertrophy by modulating NEXN phosphorylation
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Updated: Sep 3, 2025

Investigating the Pathogenesis of MYH7 Mutation Gly823Glu in Familial Hypertrophic Cardiomyopathy using a Mouse Model
Published on: August 8, 2022
Jian Huang1,2,3, Luxin Wang1,2,3, Yunli Shen1,2
1Department of Cardiology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China.
Insights
CDC-like kinase 4 (CLK4) regulates heart health by phosphorylating nexilin (NEXN). CLK4 deficiency causes pathological cardiac hypertrophy and heart failure, highlighting CLK4 as a potential therapeutic target.
Area of Science:
- Cardiology
- Molecular Biology
- Biochemistry
Background:
- Kinase-catalyzed phosphorylation is vital in pathological cardiac hypertrophy.
- The role of CDC-like kinase 4 (CLK4) in cardiac function and failure requires elucidation.
Purpose of the Study:
- To investigate the role of CLK4 in cardiomyocyte hypertrophy and heart failure.
- To identify the downstream targets and mechanisms regulated by CLK4 in the heart.
Main Methods:
- Utilized knockdown and overexpression of CLK4 in cardiomyocytes and cardiac-specific knockout mice.
- Identified nexilin (NEXN) as a direct substrate of CLK4 using biochemical assays.
- Employed phosphorylation-mimic mutants to assess functional rescue.
Main Results:
- CLK4 deficiency induced pathological cardiomyocyte hypertrophy and cardiac dysfunction in mice.
- CLK4 overexpression protected against hypertrophy.
- Nexilin (NEXN) was identified as a direct substrate, and its phosphorylation by CLK4 reversed hypertrophy.
Conclusions:
- CLK4 regulates cardiac function and prevents pathological hypertrophy via NEXN phosphorylation.
- CLK4 deficiency contributes to heart failure, positioning CLK4 as a potential therapeutic target.
Abstract:
Kinase-catalyzed phosphorylation plays a crucial role in pathological cardiac hypertrophy. Here, we show that CDC-like kinase 4 (CLK4) is a critical regulator of cardiomyocyte hypertrophy and heart failure. Knockdown of Clk4 leads to pathological cardiomyocyte hypertrophy, while overexpression of Clk4 confers resistance to phenylephrine-induced cardiomyocyte hypertrophy. Cardiac-specific Clk4-knockout mice manifest pathological myocardial hypertrophy with progressive left ventricular systolic dysfunction and heart dilation. Further investigation identifies nexilin (NEXN) as the direct substrate of CLK4, and overexpression of a phosphorylation-mimic mutant of NEXN is sufficient to reverse the hypertrophic growth of cardiomyocytes induced by Clk4 knockdown. Importantly, restoring phosphorylation of NEXN ameliorates myocardial hypertrophy in mice with cardiac-specific Clk4 deletion. We conclude that CLK4 regulates cardiac function through phosphorylation of NEXN, and its deficiency may lead to pathological cardiac hypertrophy. CLK4 is a potential intervention target for the prevention and treatment of heart failure.
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